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A member asked:
Have a chronic urge to cough 2 years. lung ct normal except for subsegmental atelectasis in right middle lobe and lingula. pft normal except for isolated reduced fef75 which was (70% predicted value). albuterol not helpful. what next steps, ideas?
2 doctors weighed in across 2 answers
As opposed to linear atelectasis which is caused by diminished inspiration, subsegmental atelectasis is often caused by some obstruction in the airway leading th that segment of the lung. In this setting, bronchoscopic examination is frequently advised to determine the presence& cause of obstruction. If you haven't consulted a pulmonologist, do so. A thoracic surgeon would be another specialist
Answered 4/5/2022
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Retained foreign body, bronchiectasis and TB should be ruled out. If you have phlegm production, please request a sputum cytology and culture. Aspiration is another condition which may occur with GERD. Discuss whether a proton pump inhibitor may be helpful with your PCP. Keep a log of when the cough occurs, the quality of the cough and possible triggers. Virtual appt HT is available.
Answered 4/5/2022
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